Denise Farragher, RN
Individual provider Active NPI Registered Nurse · Eldred, NY
NPI 1750150421 · NPPES record last updated Dec 22, 2023
Key facts
- NPI
- 1750150421
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 391289-01 (NY)
- Practice address
- 600 Route 55
Eldred, NY 12732-1273 - Phone
- (845) 456-1100
- Fax
- (845) 456-1014
- NPI assigned
- Dec 22, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 391289-01 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 391289-01 | NY | Yes |
Addresses
Primary practice location
600 Route 55
Eldred, NY 12732-1273
Mailing address
PO Box 249
Eldred, NY 12732-0249
Phone (845) 456-1100
Other providers in Eldred, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.